Since the 1950s, social scientists have devoted serious attention to the relationship between alcohol and the workplace. In recent years, awareness of the tremendous costs, both human and financial, associated with alcoholism has led to a dramatic increase in both scholarly and practical interest in the field. Although researchers working in this area are relatively few, they have sustained a lively interest in the alcohol/work nexus and have attracted others to the field through conferences where ideas and research strategies are exchanged. The larger part of "Alcohol Problem Intervention in the Workplace" provides an up-to-date thorough examination of the problem, the research, and the possible solutions.

This volume is directed toward both practitioners and researchers, providing a wide range of new data and new ideas that bear upon coping with alcohol problems in the workplace. Part I addresses issues regarding the distribution and correlates of alcohol problems and alcohol use among employees. Part II is centered on issues associated with Employee Assistance Programs. And Part III is a general conclusion and overview offering suggestions and implications for the practitioner in the workplace. Because this collection supplies the most current thinking and information on controlling alcohol problems in the workplace, it will be of particular interest to human resource management and to employee assistance specialists, who are now required to pass a certification examination.

A psychiatrist examines how the world's four most important mind-altering substances- alcohol, cocaine, nicotine, and opiates-have played a significant role throughout human history, and explains how these powerful drugs affect the brain and cause addiction. Alcohol, cocaine, nicotine, and opiates have spurred some of the greatest human pleasure and pain across time. Providing information that ranges as widely as from ancient Egypt to modern times, this book comprehensively addresses the good, the bad, and the very ugliest aspects of these substances, examining their history, their effects on the brain and body, and on civilization itself. Frances R. Frankenburg, MD, employs accessible, everyday language to explain the neurology of addiction and describe how these "brain-robbing" substances work to hijack the brain's pleasure systems to create powerful addictions. The author also provides perspective into the intertwined, inescapable, and often uneasy relationship between these substances and human culture, economics, and politics-for example, how individuals become physically or psychologically addicted to alcohol, cocaine, nicotine, and opiates, while governments become financially "addicted" to the revenue, such as taxes, that can be collected from the sale and use of these substances. Presents a historical review of four plant-derived drugs-alcohol, cocaine, nicotine, and opiates-and their effects throughout human civilization, as well as a fascinating exploration of the mystery and misery of addiction Provides comprehensive explanations of medical and psychiatric effects of these drugs Supplies stories of people who made discoveries about these drugs or who had their lives altered by them Describes the discovery of the way in which the brain works Includes illustrations of brain pathways and of the four plants of origin for these drugs, and maps showing drug trade triangles

This book addresses the use and regulation of traditional drugs such as peyote, ayahuasca, coca leaf, cannabis, khat and Salvia divinorum. The uses of these substances can often be found at the intersection of diverse areas of life, including politics, medicine, shamanism, religion, aesthetics, knowledge transmission, socialization, and celebration. The collection analyzes how some of these psychoactive plants have been progressively incorporated and regulated in developed Western societies by both national legislation and by the United Nations Drug Conventions. It focuses mainly, but not only, on the debates in court cases around the world involving the claim of religious use and the legal definitions of "religion." It further touches upon issues of human rights and cognitive liberty as they relate to the consumption of drugs. While this collection emphasizes certain uses of psychoactive substances in different cultures and historical periods, it is also useful for thinking about the consumption of drugs in general in contemporary societies. The cultural and informal controls discussed here represent alternatives to the current merely prohibitionist policies, which are linked to the spread of illicit and violent markets. By addressing the disputes involved in the regulation of traditional drug use, this volume reflects on notions such as origin, place, authenticity, and tradition, thereby relating drug policy to broader social science debates.

Does the timely treatment of mental illness result in a drop in the cost of health care, and if so, what is the cost effectiveness? This study provides an overview, synthesis, and analysis of the medical offset effect. It demonstrates that a medical offset effect does exist and the size of the effect is significant. A behavioral model provides a precise method for ascertaining the dimensions of medical offset and an explanation of the underlying causal relationships. The offset effect for an important population group is analyzed through the use of Medicaid patient data from Georgia and Michigan. This clear, concise book will provide students, researchers, mental health professionals, insurance companies, and government agencies with an understanding of the current and potential future relationships between general medical care and mental health care services.

"The Medical Offset Effect" begins with the historical and structural evolution of the mental health industry since World War II. The book then reviews medical offset literature. The behavioral model is followed by an empirical analysis and the book concludes with a general analytical framework for the development of a national mental health policy in light off the medical offset effect.

Twelve Step Programs are significant features in the American landscape. Their popularity compels us to take them seriously. This book studies one such program, Al-Anon, which was founded in 1951 by wives of alcoholics who were struggling with the effects of alcoholism on themselves and their families. In the 1990s its scope was broadened to include husbands, grown children, lovers, friends, and anyone else affected by another's drinking or chemical use. This study used an ethnographic approach: it reveals that Al-Anon and similar groups act as sites of spiritual renewal and moral reconstruction for primarily white, middle-class, middle-aged, Protestant Americans who report experiencing a crisis of identity. Investigating Twelve Step Programs lends further insight into the cultural crisis affecting many Americans as well as the strategies some have found to make sense of their lives.

This is a comprehensive examination of the contemporary movement against drunk driving. Written in an eminently readable style, the volume addresses all major substantive aspects of the anti-drunk driving effort including society's changing attitudes and response to the crime itself and the offenders, the role of grass roots groups such as MADD and RID, federal and state initiatives, actions and enabling legislation, and anti-drunk driving programs and projects. Gerald D. Robin takes a socio-legal approach throughout, emphasizing the rationales behind, controversies surrounding, and effectiveness of new strategies and developments to combat drunk driving. Following two introductory chapters, which outline the dimensions of and societal responses to the drunk driving problem, the chapters are arranged to reflect the chronological processing of suspects through the justice system from the point of stopping them on the road to the final disposition of cases in court. Thus, individual chapters treat issues such as sobriety checkpoints, administrative license suspension, prosecuting and defending drunk drivers, mandatory sentencing, third party liability, and deterring drunk driving. Numerous photographs and figures illustrate points discussed in the text. Ideal as a supplemental text for criminology courses, this book is also an important resource for professionals involved in treating drunk drivers and their victims.

This book locates the rise of illicit drug use within the historical development of late industrial society and challenges the prevailing view. Highlighting key areas of continuity and the on-going value of classic criminological theory, it is argued that recent trends do not constitute the radical departure that is often supposed.

Illicit drugs and their use are now, more than ever, a dominant concern of British politicians, policy makers and the general public. Often, our understandings of the 'drug problem' tend to be uni-dimensional and based around particular areas of risk: risk of drug related crime, risk of dependency, risk of ill-health. This book moves beyond this single issue approach and locates illicit drug use in its wider context, with chapters on:
*the history of illicit drug use in British society *measuring the 'problem' *legal and medical responses to illicit drug use *the illicit drugs market *drugs, crime and trends in drug policy
Drawing information from wide-ranging sources, Adrian Barton illuminates the complex nature and broad impact illicit drug use carries in its wake and provides an overview of the contemporary state of the British drug 'scene'. This book will be essential reading for students and researchers working in the area of drugs and society.

This book analyzes heroin users and the drug subculture on the Shetland Islands, an area known for its geographical remoteness, rural character and relative wealth. It fills the scientific gap created by the conventional research in heroin research, which is usually conducted in urban areas and relies on treatment and prison populations. Based on qualitative, in-depth interviews with twenty-four heroin users, this book depicts and analyzes the nature and historical development of the local heroin scene. It illustrates the features and internal structures of the subculture, and it examines the manner in which both are influenced by the location-specific geographical, cultural and socio-economic conditions. It thus reveals complex causal associations that are hard to recognize in urban environments. Complete with a list of references used and recommendations for future research, this book is a vital tool for progressive and pragmatic approaches to policy, intervention and research in the field of illicit drug use.

Now a major TV series on Disney+ 'A shocking investigation... Dopesick is essential' The Times 'Unfolds with all the pace of a thriller' Observer 'A deep - and deeply needed - look into the troubled soul of America' Tom Hanks 'Essential reading' New York Times Beth Macy reveals the disturbing truth behind America's opioid crisis and explains how a nation has become enslaved to prescription drugs. This powerful and moving story explains how a large corporation, Purdue, encouraged small town doctors to prescribe OxyContin to a country already awash in painkillers. The drug's dangerously addictive nature was hidden, whilst many used it as an escape, to numb the pain of of joblessness and the need to pay the bills. Macy tries to answer a grieving mother's question - why her only son died - and comes away with a harrowing tale of greed and need.

Social workers represent the largest body of addiction and mental health service providers, and there is a consistent need for up-to-date information. Social Work Practice in the Addictions is a comprehensive evidence-based volume. Contributing authors of this volume have been carefully selected to ensure representation of the leading social work addiction researchers. Additionally, researchers from other allied fields, including psychiatry, psychology, and public health, will also be involved to ensure a strong interdisciplinary perspective. Unlike other texts on addiction, this book incorporates ideas of social justice, practice with diverse communities, and ethics to represent the entire knowledge base of social work.

This 'landmark' text by one of the most respected researchers in drug use considers the issues surrounding the gendering of drug use, and within this looks critically at two approaches - the classical and postmodern. Ettorre has previously argued for the need for a gender-sensitive approach to the drugs field and here she contends that this approach is still lacking. This book draws together theoretical and empirical studies on drug use, provides a comprehensive analysis of gendered bodies and drug use and examines the idea of a drug-using society and the implications this holds for social inequality and exclusion.

This book provides the first comprehensive study of narco cinema, a cross-border exploitation cinema that, for over forty years, has been instrumental in shaping narco-culture in Mexico and the US borderlands. Identifying classics in its mammoth catalogue and analyzing select films at length, Rashotte outlines the genre's history and aesthetic criteria. He approaches its history as an alternative to mainstream representation of the drug war and considers how its vernacular aesthetic speaks to the anxieties and desires of Latina/o audiences by celebrating regional cultures while exploring the dynamics of global transition. Despite recent federal prohibitions, narco cinema endures as a popular folk art because it reflects distinctively the experiences of those uprooted by the forces of globalization and critiques those forces in ways mainstream cinema has failed.

“This is not a work of fiction. This is the raw reality of life, and a larger part of society. Nothing more, nothing less. Some statistics reveal that approximately 8000 children are abused in some way everyday, of which 5 will die globally. This equates to almost 3 million abuse cases a year and almost 2000 deaths a year. Whether or not the figures are lower or higher I’m obviously not sure but apparently child abuse has increased 134% since 1980 and is now classed as a worldwide epidemic. Having said that, I honestly believe that my testimony can be of some help to someone out there. This book is based on the foundation of how being sexually, mentally and physically abused has affected my life and how the desire for escaping the anguish and the reality of the situation, through drinking alcohol, has nearly killed me...numerous times to say the least. This will take you on a journey through my childhood years, my teenage nightmare, to the beginning of my adult life.” This is not just the unburdening of Nicky’s story. It is the start of something new; a sign of hope; a show of strength. Nicky refuses to take the hand that she has been dealt and become another statistic. She has hope for herself and her future and a strong focus on the new organisation she is developing.

Drug and alcohol education in public schools may be important, but its authoritarian stance often invites skepticism among teachers and students alike. Yet this program has its roots not in modern bureaucracy or even Prohibition but in a social movement that flourished over a century ago.

Scientific Temperance Instruction was the most successful grassroots education program in American history, championed by an army of housewives in the Woman's Christian Temperance Union under the leadership of Mary Hanchett Hunt. As Hunt and her forces took their message across the country, they were opposed by many educators and other professionals who believed that ordinary citizens had no business interfering with educational matters. STI sparked heated conflict between expert and popular authority in the debate over alcohol education, but it was eventually mandated as part of public school curricula in all states.

The real issue surrounding STI, argues Jonathan Zimmerman, was not alcohol but the struggle to reconcile democracy and expertise. In this first book-length study of the crusade for STI, he shows Mary Hunt to be a wily and manipulative politician as he examines how citizens and experts used knowledge selectively to advance their own agendas. His work offers a microcosm for observing Progressive Era tensions between democracy and professionalism, localism and centralization, and social conservatism and liberalism.

"Distilling Democracy" points up a crucial and ongoing dilemma in our education system: educational directives handed down by experts deny citizens the right to transmit their values to their children, while populist educational values sometimes stifle classroom debate. By using history to demonstrate the public's participation in shaping public education, Zimmerman suggests that however unappealing the program, society needs to embrace such popular movements in order to uphold true democracy. His book offers fresh insight into an overlooked chapter in our history and will spark debate by raising fresh questions about lay influence on school curricula in modern America.

A unique answer to the perennial question--why do college students drink so much? Most American college campuses are home to a vibrant drinking scene where students frequently get wasted, train-wrecked, obliterated, hammered, destroyed, and decimated. The terms that university students most commonly use to describe severe alcohol intoxication share a common theme: destruction, and even after repeated embarrassing, physically unpleasant, and even violent drinking episodes, students continue to go out drinking together. In Getting Wasted, Thomas Vander Ven provides a unique answer to the perennial question of why college students drink. Vander Ven argues that college students rely on "drunk support:" contrary to most accounts of alcohol abuse as being a solitary problem of one person drinking to excess, the college drinking scene is very much a social one where students support one another through nights of drinking games, rituals and rites of passage. Drawing on over 400 student accounts, 25 intensive interviews, and one hundred hours of field research, Vander Ven sheds light on the extremely social nature of college drinking. Giving voice to college drinkers as they speak in graphic and revealing terms about the complexity of the drinking scene, Vander Ven argues that college students continue to drink heavily, even after experiencing repeated bad experiences, because of the social support that they give to one another and due to the creative ways in which they reframe and recast violent, embarrassing, and regretful drunken behaviors. Provocatively, Getting Wasted shows that college itself, closed and seemingly secure, encourages these drinking patterns and is one more example of the dark side of campus life.

This volume introduces students to the emerging field of state mental health policy, its history, current policies, organizational models and required programming knowledge. Focusing on current issues and trends, it also provides administrative and policy practitioners with a previously unavailable source of new program designs and initiatives. Five chapters on program development identify key principles of programming and describe model programs in primary prevention, clinical treatment, and psychiatric rehabilitation. Contributors include leading scholars and practitioners, several having served as state commissioners of mental health. This is the first book written specifically on state mental health policy. Its collection of essays together with the editors' introduction and conclusion will provide direction for future inquiry and policy development.

State mental health has become a rich source of policy, program, and practice experimentation. Heretofore these efforts have been insufficiently evaluated. The result is duplication of efforts and repetition of errors. This volume introduces its readers to state mental health policy as an emerging specialty. The introduction identifies pivotal issues explored in this collection and then presents an analytical framework and methodology. The initial section examines the historical backdrop and provides a detailed analysis of legal issues. The second section covers current policies and trends. The third, Mental Health Program Models, looks into the packaging of various direct and indirect practice modalities. It then delves into major program options for achieving the ends of primary, secondary, and tertiary prevention. Examples of state-of-the-art public programs are also presented. The final section considers the problems of financially and administratively supporting these policies and programs. A summary chapter reviews conclusions and presents a range of recommendations directed primarily toward administrative integration and fiscal responsiveness.

Drinking alcohol can be immensely pleasurable and life enhancing. On the other hand, it can be associated with dangers and risks. This book explores some of the implications of this dichotomy--which creates many policy and practice dilemmas--by a detailed exploration of the place of drinking in women's lives. Interviews and case-studies show women's drinking practice to be constructive and autonomous responses to the social and material contexts of their lives.

Researchers in economics, psychology, and pharmacology review recent empirical and theoretical work on behavioral-economic approaches to understanding and altering the use and abuse of alcohol, cigarettes, and other substances. Among the topics they discuss are reducing drug abuse by enriching the e

This study, by two leading scholars in the field, draws on feminist theory and science and technology studies to uncover a basic injustice for the human rights of drug-using women: most women who need drug treatment in the US and UK do not get it. Why not?

This study is based on five years of ethnographic fieldwork with Colombian drug traffickers (traquetos) in The Netherlands and Colombia. The author has uncovered the social world of traquetos: how and why they get involved in illicit activities, the nature of their work, and how they organize their businesses. This book will be valued by criminologists, social scientists, drug researchers, policymakers, organized crime scholars, and by those interested in Colombia, Latino immigrants issues, and the cocaine business.

In the last 15 years, the prison population in the U.S. increased by more than 188 percent. The increase has been fueled largely by increases in the number of individuals convicted of drug-related offenses. These offenders constitute a disproportionate number of recidivists who, in turn, are responsible for a relatively large proportion of criminal activity in our society. The vast majority of these offenders were arrested for committing violent crimes, and most of the offenders are poor, unemployed, uneducated, come from dysfunctional families, and are African-American. Contrary to public opinion, many of these offenders are tired of their "revolving door" relationship with the police, courts, and correctional institutions. However, without appropriate social and therapeutic support, there is little hope of altering their behavior. This volume seeks to address specific issues relevant to prisons in America and includes contributions by practitioners in the field of prison-based drug treatment and therapy programs. The work is an important contribution to the literature examining the extent to which rehabilitation (i.e., prison-based drug treatment programs) has effectively reduced recidivism, drug relapse, and violent crime in our society.

The domestic phase of Washington's war on drugs has received considerable criticism over the years from a variety of individuals. Until recently, however, most critics have not stressed the damage that the international phase of the drug war has done to our Latin American neighbors. That lack of attention has begun to change and Ted Carpenter chronicles our disenchantment with the hemispheric drug war. Some prominent Latin American political leaders have finally dared to criticize Washington while at the same time, the U.S. government seems determined to perpetuate, if not intensify, the antidrug crusade. Spending on federal antidrug measures also continues to increase, and the tactics employed by drug war bureaucracy, both here and abroad, bring the inflammatory "drug war" metaphor closer to reality. Ending the prohibitionist system would produce numerous benefits for both Latin American societies and the United States. In a book deriving from his work at the CATO Institute, Ted Carpenter paints a picture of this ongoing fiasco.

The name "AIDS" is an accusation. It implies punishment for sin--homosexuality and promiscuity. AIDS is a moral judgement masquerading as a scientific name, which is at the very heart of discrimination against the infected. At the bottom are drug users, victims of the War On Drugs, condemned to contract AIDS by using contaminated syringes necessitated by scarcity resulting from restrictive policies. A rational way to control HIV is to liberalize drug paraphernalia policies as in Europe. The U.S. has not taken this simple step, thus unleashing the AIDS epidemic among drug users, their sexual partners, and neonates. While this policy neglect can be understood in the context of AIDS prevention dominated by moral, political, and religious ideologies rather than epidemiological facts, there are critical racial implications. The ethnic divide separating the white researchers and the infected who belong to minorities has fuelled comparisons of AIDS with the infamous Tuskegee Syphilis Study and some preventive strategies have been called genocidal plots. Recent research indicating the ineffectiveness of bleach to disinfect paraphernalia has exposed the deadly consequences of a nonchalant attitude to research and compromises for political expediency.